Most arsenic poisoning is chronic: Through global trade, we are ingesting more and more arsenic-contaminated products – mainly rice, tea, medicinal herbs. Acute arsenic poisoning usually is accidental or occupational (mainly workers in pest control, electronics manufacturing industry and pressure-treated carpentry). Few are homi- or suicidal. Earlier this year I have been diagnosed with arsenic-induced ataxia. Ataxia means imbalance, wobbliness.

For me, I am glad that I have “just” ataxia, and not more. The list below contains Latin as well a common names to make it easier to find things.

Here is the short of what I have been doing to reduce my arsenic levels:
1. Stop using tainted products; look for safer sources.
2. Sauna as often as possible to sweat out heavy metals. Sweating through exercise and summer heat also helps.
3. Eating fresh garlic and cilantro bind and expel heavy metals
4. Vitamin C, selenium, vitamin B12, zinc, folate and methionine add to the elimination of arsenic.
5. And, of course, all the other lifestyle goodies: A healthy diet heavy on vegetables. Movement. Enough sleep. Plenty of water (some areas of the US have arsenic-contaminated drinking water from wells – careful!).

Signs and Symptoms

The myriad manifestations of arsenic intoxication do a roller coaster through all medical specialties, it seems. Since there are so many overlapping features with many diseases, it will take an open mind and special alertness to make a diagnosis. Just to show the enormous scope of signs and symptoms, I have thrown together acute and chronic arsenic intoxication. The list is not thought for diagnosing yourself - consult your physician. Here is the list:

Last night in the sauna, our European friends asked again for an explanation of the Fahrenheit scale. It boggles their mind that we here in the United States still using the clumsy Fahrenheit thermometer readings, instead the easy Celsius version.

Celsius determined the freezing point of water as zero degree, and the boiling point of water as 100 degree. Fahrenheit, on the other hand, placed his zero point at the lowest temperature he personally ever measured (in an artificial cold mixture of ice and salts). He then determined the moment when ice forms on non-moving water as 32 degree. And a third fixed point was when he put the thermometer under his arm – which he called 96 degree. Things could not be more messy and arbitrary than that, methinks.

Not to take away from Mister Fahrenheit’s merits: He invented the thermometer. But his temperature scale outlived its usefulness. It is only used now in the U.S. and in Belize (does that tell us something about the political situation of Belize??). The Fahrenheit scale should go where also inches and feet and the American pound should go: On the garbage heap of history. It is time that we introduce the metric system. Mainly so that our children in school don’t spend an inordinate amount of time learning to work with one sixteenth of an inch, and something like that. To handle inches and feet make you fit for construction work, but not much more. The metric system is easier, makes more sense – and can take students to science and computer language and into the difficult future … if they didn’t have to learn inches and feet and Fahrenheit and miles and uneven pounds. As a former math teacher, mathematical prowess is important to me – and I don’t like at all that we are taking only place # 27 globally in math skills.

Daniel Gabriel Fahrenheit (1686 to 1736) died already at age fifty. I wonder if he died of mercury intoxication, because he also invented the mercury thermometer. He actually started his career as a naturalist, after his parents died of a mushroom poisoning when he was in his teens. He was born in Gdansk, not far away from where I was born, and is a contemporary of Johann Sebastian Bach. – And, no, Anders Celsius from Sweden did not die of mercury intoxication; he died so young of tuberculosis.

Meanwhile, and interrupting my writing, I took a bath in the ocean. The water is rejuvenating, stimulating and cooling. In former years I had to leave after five minutes because I was cold to the bones. For the last few years, we leave because it gets boring. Anybody here still refuting global warming? Here, in down-east coastal Maine, we feel the consequences. Also by increased rains: We had water in the basement - the cement is broken, water comes in from all sides. Which had a good side-effect: We finally had to clean up the basement; it was overdue for about twenty years ...

Of course, it is still gorgeous summertime in Maine. We sleep and eat, we read and discuss, we do sauna (and a dip in the ocean afterward), and go for hikes. The other day, we had a lobster bake, directly at the ocean with churning white water, on wooden benches. Life could not be better. That is what the Natives must have thought hundred of years ago: This was their summering area, and their spirit of reverence for this place is still in the air. They would come from afar and meet here, to indulge in clams and mussels, lobsters and scallops. Then for two hundred years this paradisal spot of the Earth, was used cutting down the old growth, then farming it, which turned out not too successful – this is mostly barren clay and rocks around here. Afterwards, sheep farming, and then, nearly a century of neglect again so that trees could cover the land. Not like old growths 0 no, that we will never get back again. But still beautiful. Now, a few summer cabins are tucked into the woods, barely visible during day time because Maine has an ordnance in place that constructions need to be away 100 feet (30,48m) the upper shore line. But at night you see lights shimmer and sparkle through the forests – more than one would guess during the day.

I have read the German mystery, and found it satisfyingly light fare. Now I am reading Hans Fallada’s Alone in Berlin – and that is not light fare. But a marvelous book. That there was one German who could write about what happened to the population during Nazi time – I feel it is kind of a redemption.

My musings from Maine can’t end without describing a few of the tiny medical emergencies we had so far – and hopefully, we will not experience worse: Cat allergy: Andrographis paniculata; leave out all dairy to reduce inflammation and mucus production. A cut foot from a stone: Saltwater; tea tree oil. A sty (hordeolum): lukewarm teabag on eye; Echinacea, goldenseal and GSE (grapefruit seed extract) from the inside. An underarm rash (likely fungal): tea tree oil. – Everybody is doing remarkably fine.

Lupus is Latin for “wolf” - an apt name for a disease that may maul your skin and inner organs relentlessly. Lupus is a group of autoimmune diseases that can affect skin, joints, blood, brain lungs, heart, and in its most feared form the kidneys, leading to kidney failure. One interesting picture produced by SLE (Systemic Lupus Erythematosus) of the brain can be an obsessive-compulsive-like disorder.

Autoimmune diseases – with all our scientific advances – are still not thoroughly understood. From experience and the literature I would consider the following steps if I were afflicted with lupus – which I am not.

1. Eliminate all dairy because casein seems to be hurting badly in lupus. Do not eat butter, cream, milk, yogurt, cheese, or any food with dried milk ingredients. For instance, “milk-free” cheese still usually contains casein. Since lupus is basically a disease of chronic inflammation in the body, it is wise to throw out all foods that contribute to inflammation – and dairy is the worse in that respect. Sugar and artificial molecules come in second. And food items you already know don’t agree with you (allergies and intolerances). Of all those, dairy has been consistently been linked with lupus and other autoimmune diseases.

2. Fish oil. Take good-quality fish oil capsules daily, about three times three. Make sure you don’t have a bleeding problem because fish oil slightly thins the blood. Also eat small ocean fish.

3. Flaxseed. If you don’t have a nut-and-seed problem, flaxseeds have a healing quality in lupus. Use olive oil for cooking.

4. Vitamin D or sunlight is beneficial in lupus, but photosensitivity (skin reactions to sun) is a prominent feature of lupus. What is a person to do? If you can’t tolerate light, take a vitamin D preparation or eat cod liver once a month.

5. Eliminate soy unless fermented. The reports about soy are not clear – sometimes soy hurts, sometimes it helps. This might have to do with two facts, namely that unfermented soy is not better than any other bean, and might even be worse as soy is one of the new mono-crops of gene-manipulated seeds. GMO are linked to lupus by some authors. On the other hand, fermented soy has done well in all studies. Miso, a good soy-sauce and tempeh are fermented soy products; tofu and the “nutritional” bars are not.

6. Caloric restriction has been shown to delay the onset of lupus. That does not mean you should starve yourself. But if you are overweight – even if ever so slightly – you should seriously focus on losing the extra pounds – which might actually happen all by itself if you eliminate dairy, sugar and other junk foods.

7. Herbs. There is a long list of herbs and plants helpful in lupus. I would not recommend any one over any others. And obviously, there might be other herbs and pants beneficial. For me it means that plant material – the way we should nourish ourselves naturally – is the way to go. So, eat a variety of vegetables. And from the list below chose food items, herbs and spices freely in your cooking. For medicinal herbs, chose one at a time and take it according to directions, until the bottle is empty, then choose another one:
Alfalfa sprouts
Antrodia camphorata (a medicinal mushroom)
Apples
Astragalus
Basil
Brussels sprouts
Bupleurum chinense (and other Buleurum species)
Celery
Chamomile (Chamomilla recutita)
Cilantro
Clover
Cordyceps sinensis (a medicinal mushroom)
Curcumin (in turmeric and curries)
Gentiana macrophylla
Green tea
Legumes (beans, peas, lentils, garbanzo)
Lotus flower (Nelumbo nucifera)
Mugwort (Artemisia vulgaris)
Oregano
Parsley
Pycnogenol (French Maritime Pine bark extract)
Rheum emodi
Royal jelly (a honey bee secretion)
Sophora flavenscens
Spinach
Tarragon
Tripterygium wilfordii
Wormwood (Artemisia absinthium, notoriously bad for the brain – absinth! So consult an herbalist for this)

8. Vitamin E and DHEA have been beneficial in lupus, but I would not take them without consulting a physician because both may have side-effects.

9. Avoid mineral oils (lipstick, lotions, creams, etc.) as mineral oils have been implicated in the development of lupus.
10. Certain vaccinations, especially hepatitis B, have been brought in connection with lupus. The jury is still out on that – but think twice before you get an unnecessary vaccination.

11. Exercise moderately.

12. Do sauna regularly for detoxification. Take a cold shower after a hot one to regulate your immune system.

13. Get enough sleep. Your body needs to repair during sleep.

Lupus might be what I like to call the canary diseases: Certain foods and lifestyles hurt all of us. But in some – the canaries – the damage shows earlier.

And I haven't even mentioned the vodka ... which I left out, it being brunch time. I also didn't cheat on gluten - it just makes me deathly sick. But the rest was enough to do me in: Fatigue and arthritis are hampering me now.

So, this week after the feast I am indulging in three cleansing modalities:

1. Sauna
2. Garden tea
3. Fasting.

Garden tea, so far, has been mostly been made with stinging nettles, chives and dandelions – not much else being available. And fasting works best with a vegetable broth, made from whatever was in the fridge (with the exception of nightshades).

In Germany, we have a saying that you have to celebrate as feasts come along – and I couldn’t agree more. But then, you have to pay the price, roll up the sleeves and clean up the mess. Especially the mess inside your body.

Introduction:
[These are my notes – they are a refresher for the workshop attendants. But might also be useful to look something up when one needs it]

What happens through the winter: A depletion of reserves leads to increased susceptibility to infections. Decreased movement. Holiday foods – not healthy.

It takes two to get sick: A virus and a run-down immune system.

“Huge outbreak” of Swine flu in Great Britain: 24 deaths as of 1/29/11 – compared to the more than 35,000 deaths annually from “normal” flu in the US (which is nothing).

Cold and flu:
• Prepare: Get your immune system into perfect shape
• Protect: Shield yourself during an actual outbreak
People are less prone to respiratory infections if they have more contact with people, and hug more. Exception: Little kids – they schlep everything home. But in the long run, it might be beneficial. But in a flu outbreak: Stay away from people as much as you can. Wash hands often. Don’t be sneezed at. Avoid public transportation. Don’t hug and kiss. Avoid touching public doorknobs, telephones and similar surfaces with unprotected hands.

• Movement
The only thing for increasing qi and against cold is movement. But excess is as detrimental as laziness.
• Yoga, of course
• Daily outside walk – importance to get sun light and vitamin D
• Hiking, bicycling, games on weekends
• Snow shoveling:
Break down the task
Take small loads
No abrupt movements
Cherish twisting movements – but they also can be the source of strained muscles.
• Yoga ball (back)
• Small heavy ball (arms)
• Getting to the ground once a day (strength)
• Knee bends (strength)
• Hanging out (back)
• Standing on one leg (pelvic health)

• Food
• Fresh foods – home cooking: Vegetables, legumes, small portions of fish and meat (lamb!), fresh (or dried) herbs. No microwaving.
• Vegetarian/vegan against omnivore
• No dairy, sugars, white starches, sweeteners, artificial molecules: colorings, flavorings, enhancers, preservatives, etc
• Predominantly cooked – more so in the winter
• Fats: More is better – but they have to be vegetal: Olive oil, coconut oil, ??butter
• Organic: Good but fresh is more important
• If you have a cold/flu: You should always force hot liquids on a sick person but never food: Respect if there is no appetite, and respect if there is. Just nothing sugary. Fruit – fresh or as compotes – is probably the best. Or hot elderberry/blueberry soup (also good for acute stomach flu and urinary tract infections). Blueberries are much cheaper.

• Herbs
Herbs have been with us throughout evolution. Their mechanism fit into our ancient physiology like a key into a lock. We always ate herbs from the wild, and now that we have for the most part stopped, a little bitter green, cabbages or strong root might just be what your body needs to find back to balance.

Bacteria and viruses do not easily develop resistance against herbs. That is because a single herb contains hundreds or more of compounds, and many of these compounds work on killing off the germs - not only one. Since point mutations in bacteria can only develop one by one, it is less likely that an herb becomes ineffective against a pathogen because there will be other compounds to destroy the microbes first.

Synergy is the reason why I recommend whole herbs (tinctures or so-called phyto-caps with extracts of the whole plant) instead of “taking the best” from several pants, and making a patented medicine. Patent medicines exist because natural plants can’t be patented, and so firms try to make money by taking single compounds from a plant, combining it with other single compound, thus producing a “new” medicine that allegedly is better. The truth is, mostly it is not better because you cannot improve on nature

• Prepare: During cold and flu season, take tonic herbs like stinging nettle, astragalus, ashwaganda, or eleuthero (formerly named Siberian ginseng) to strengthen your immune system. Rotate them every three weeks.
• Spice up your food with herbs and spices because they kill microbes (the plants developed the strong-tasting compounds to protect themselves against the invasion of bacteria, viruses and fungi). Pregnant and breast-feeding women as well as little children should go easy on herbs and spices.
• When you go out, use an Echinacea spray every hour or two to protect your throat, the entry port of viruses. Again, GAIA makes a good one
• Mushrooms boost your the immune system – eat them often, or take a mushroom preparation; Whole Body Defense by Gaia is one.

• Protect: (if you had exposure, or suspect you had): If there is a bad flu epidemic: Chew a raw garlic clove, several times a day
• Take a lick of unheated honey (Manuka is the best) every hour or so – kills germs (not for children under three years – danger of botulism!)
• Rinse your nose prophylacticly with saltwater to kill germs (carefully rinse mouth afterward with clear water if you have blood pressure issues)
• Prophylactic and curing: Hot elderberry tea, hot blueberry soup
• Importance to wash hands and cover sneezes and coughs, preferably with a sleeve cough – not your hands
• Take as supplements: A probiotic (I like PrimalDefense), fish oil and cod liver oil

• Pull through: In cold and flu: Immediately when you come down with the flu: REST!
• Fever over 104 F in children, and a cold lingering more than a week should be seen by a physician. Also if you have unusual symptoms like stiff neck, enormous headaches, breathing difficulties, and so on.
• Against cold: Easiest, most expensive: GAIA Quick Defense. It contains Anagraphis paniculata – best cold medication I know (hard to find as a single extract)
• Against cold and flu: Echinacea, olive leaf, osha, pau d’arco, licorice – all as extracts in a bottle. Mix together in hot water like a tea.
• Other herbs that have been found beneficial in colds and flu: bayberry, boneset (Eupatorium perfoliatum), calendula, goldenseal, Oregon grape, juniper berry (chew a dried berry every few hours, not more than five a day, and not for longer than a week), umckaloaba (Pelargonium sidoides)
• A ready-made anti-viral concoction is the Chinese Yin Qiao Jie Du Pian, also called Honeysuckle-Forsythia Detoxifier. It might be a good idea to have some of those pills at hand when you get sick (get them from a reputable source).
• Lingering (more than a week) colds and bacterial infections: GSE extract (but consult your physician to make sure it is not pneumonia)
• Sore throat: Swish a few drops of oregano extract (nips whatever is coming in the bud, if you take it early enough) in your mouth and swallow, or zinc lozenges (science is a bit wobbly on zinc)
• Sore throat: Gargle with saltwater or warm water with one drop of sage, myrrh, oreganol, neem or tea tree oil. Not for children under six.
• Stuffed nose/Sinusitis: Rinsing nose with saltwater – frequently, if necessary
• Stuffed nose/Sinusitis: Eat mustard, horseradish.
• Stuffed nose/Sinusitis: Steam inhalation helps with a running or stuffed nose. You can add chamomile, thyme, eucalyptus or a pea-sized piece of Vick’s. You can also use Vick’s on older children (check the label).
• Cough: Gan Mao Dan Chinese pills (20 per day in divided doses), or make a tea of peppermint, honeysuckle, ginger, cloves and/or horehound, slippery elm, violets, fennel, anis, marshmallow root (the real one!), Iceland moss (Cetraria islandica), ribwort plantain
• Fever is mostly good – it kills the germs. Therefore, no aspirin or Tylenol. In children, do cold wraps or dunk babies in tepid water
• If you get the flu, start Ginkgo biloba will start repair damaged cells
• Also: No decongestants as they tend to dry out mucosa and increase stuffiness in the long run
• Increase hot fluids: hot water, hot broth (chicken soup has been researched – and it really works!), hot herbal teas (linden flowers, elderberry flowers, honeysuckle, fennel or thyme, sage, green or black tea, thyme, ginger, rose hips, mullein, lemon balm, peppermint - in all combinations) are good – but so are many other. Hot lemonade is also beneficial if made with fresh lemons and preferably with unheated honey
• If you use vitamin C, use a low-dose kind – and only in the first few days of a cold
• Don’t use all the herbs at once – get familiar with a few, one after the other.
• There is no such thing as” That herb does not work in me!” There is only “That herb does not work against this or that germ”

• Order
• Cherish the season – don’t fight it
• Preventing: GET ENOUGH SLEEP! In a flu outbreak, be in bed by nine pm every night – no TV, no computer. The body repairs itself during about two hours the time around midnight — if you are asleep then, that is.
• During a bad flu season, consider wearing a mask over nose and mouth

The causes of death in influenza are of two different origins: Older people die of the virus and its consequences like pneumonia; their weakened immune system cannot fight the virus anymore. Young people succumb to an overreaction of their still exuberant immune system – they produce what we call a cytokine storm, and usually die within the first two days. Consequently, both groups should be treated differently. In young people (older teenagers and young adults) I therefore would add an herbal anti-inflammatory, namely Zyflamend as soon as the young person gets sick.

Winter is the time of the year when the air is so dry that skin irritations blossom and – worse! – one seems to have a bad hair day every single day.

Get ready for a warm oil bath! Any vegetal oil will do: Olive is perfect, but I have used other oils too. The original idea comes from Ayurvedic Medicine; they use sesame oil. Coconut oil has the finest smell.

Don’t use commercial bath oil preparations as they contain preservatives, even luxury ones. Often they are mineral-oil based. You really need plant oils. Nut oils work well, unless you have allergies. If you like the smell, add a drop of essential oil to your warm oil, like rosemary, thyme, oregano, rose, etc.

It is easy to do, just a bit messy. I have done it in the sauna, on a big towel, or in the shower. In the shower, make sure to stand on a small towel because you will be slippery like a fish, and I don’t want you to fall.

Warm about half a cup of oil, either in a second pot with hot water, or on the radiator, or with a tea light. Don’t use the microwave! Stand by when you heat the oil! It easily can get too hot – make sure it is just nicely warm.

Take the pot with oil into the shower stall and rub it into every nook and cranny of your body: ears, nose, between the toes, into all body folds. Pour it over your scalp deliberately and hair and rub it in. Let it work for ten minutes or longer.

Wash your hair well, twice, with shampoo. Don’t forget the short cold shower at the end!

Your hair will fall smoothly again and your itchy skin calms down – until it is time for the next warm oil bath, in about two weeks.

This old story – nearly thirty years old - story has two parts. This is Part One:

My first visit ever to America, was with a boyfriend, in the very early eighties. He took me to friends in the Haight Ashbury area of San Francisco. They were a nice couple, with two little girls.

While we were politely chatting in the living room, over a tea, they asked the usual questions of a newcomer: How was your trip? How do you like America? How do you like San Francisco?

Then the husband asked: Do you want to try a hot tub?

Now, I didn’t even know what a hot tub was. I looked to my friend. He nodded. Sure, I said.

That very moment, the three of them got up and started stripping – right there in the living room. If in Rome, do as the Romans! So I undressed, too. We went out on the porch where I got to see my first hot tub, and got to sit in one, continuing our polite coversation.

As a European, of course, I was no stranger to public nakedness. But in the living room of people I had just met half an hour ago??

Part Two: About two years later, I visited Boston for the first time, interviewing for a job. Tired after a stressful day of traversing the city and encountering hospitals and Chiefs of Medicine, I wanted to take a sauna in the evening. At that time, I was boarding with a friend, but she was away for the weekend. So I tried on my own to find a reviving sauna. First thing I learned that there were no public saunas in Boston. I was desperate – in Germany, it was so much of the culture to go once a week and relax in dry heat. Nada here.

I called around. On a Saturday evening nearly nobody answered. Somebody suggested going to a women’s spa. I found one that had a sauna, but I needed to be a member. After a lot of cajoling and explaining my visiting status, I finally succeeded in convincing them to let me use their sauna once, for a fee.

On that Saturday night, the women’s health club was deserted (I learned later that on Saturday nights EVERYBODY here has a date). I had the whirlpool all for myself. By now, I had experience with hot tubs, of course, and happily dunked there first. A lone woman came by, looked down at me and said: My, are you white!

Now I am a redhead with very white skin, that’s true – but to comment on that I don’t tan like other people? I said nothing, not sure I really had heard what I had heard.

I retired into the empty sauna, feeling right a home – in spite that American saunas are not as hot as ours. But at least I had arrived where I wanted to be this Saturday evening.

The door opened and a very bulky woman moved in. I wiggled to the side and made room for her. Her breathing made funny noises and she gave me some sideward glances. Then she spoke up: I am not offended by your sight.

Number one, I found it a strange English sentence. Number two: What was so remarkable about me that everybody had to comment on me? I said nothing – especially did I say nothing about what she looked like to me.

Again she said: I am not offended by your sight. This time I looked her full in the face, asking what she meant??

She must have gotten that I was utterly baffled, and that I had an accent. Delicately, she pointed out that, in America, you wear a bathing suit in the sauna.

Yes, the huge woman was wearing a tiny-teeny bikini. And here I was, embarrassed and white-skinned, sitting naked in a public sauna! The little guest towel I had brought from my friend’s house, did not even wrap around me.

And wait a second, I wanted to scream. If there’s no nudity allowed in America - what was that in San Francisco then??

For two weeks already, we are in Maine. The Internet works only sporadically, and my mind is not on blogging.

Maine, this summer, has taught me these points:

1. At least once a day, I dip into the ocean – either for a swim or after the sauna. The water down-east used to be so cold, I would freeze to the bones in minutes. But global warming is real: Now I can stay much longer.

2. The French Commissaire Maigret, Georges Simenon’s master detective, describes a morning in Paris thus: “Maigret always loved wandering the streets, while Paris made its morning ablutions.” Ablution, of course, is a fancy word for a cold water gush.

3. On my birthday, at full moon, we kayaked at night to the seals’ rock. It was something to remember – the smooth ocean, the bright moon, the sleepy calls of water birds. I saw the other boat only by the silvery run of drops from the oars.

4. If you dream of owning a boat, forget the expensive stuff – the stinkers with motor. Get a kayak, used, if possible! Put your kayak in a river, a lake, the ocean. Hear the silence of Nature speak to you when you paddle by.

5. I see herons, eagles, cormorants and terns – and the ubiquitous seagulls; I hear loons and ospreys. And, so far, I met a fox, deer, seals, feral cats and lots of chipmunks and red squirrels. The most exciting meeting was a with a hummingbird moth – because I had never before seen one. And we have real hummingbirds, too; it’s inconceivable how they can survive this far in the north. I understand they drink birch sap in the spring. In August, they suck nectar from my phlox.

6. I think I might be finished soon with my Kneipp novel. But I have thought that before …

European Natural medicine works with the Five Health Essentials. Here they are:

• Water - our wellspring, inside and out
• Movement – shapes our bodies and our minds
• Food - the building blocks of our body
• Herbs - the essence of Nature
• Order for our lives – balance in the world.

Today let’s talk a bit about water in general; I will tackle the other four Essentials in the next few days.

We are mostly water, and therefore we need water. Drinking water (or herbal teas) helps nearly all biochemical functions; we die pretty fast without drink (usually within three days). Without food we can survive about 30 days. – These are rough numbers – and don’t try this at home.

Every body nowadays knows that we should take enough fluid in. But few people are aware that one can overdo drinking. I usually recommend seven cups of water - from a beautiful cup – not from plastic. And preferably filtered. Seven cups, of course, is an inane recommendation because your size, the temperature, exercise, your clothing, wind conditions, what you have been eating, and so on will influence how much you really have to drink. Seven is a sacred number and should just keep you mindful of your water intake. But it is not written in stone. Better observe your urine: If it is getting dark, you need more water. If it is water-clear, you had too much.

Soup and fruit contain fluids; coffee and alcoholic drinks like beer and wine count less because they dehydrate. But they don’t count for nothing. Hard liquor and milk don’t count at all (and should be avoided altogether).

Whatever you drink, it should never be ice cold! Iced liquids hamper digestion by clamping down on blood circulation in the stomach, and decrease energy in the body. However, it is not enough to lose weight!

Water from the outside is as important as water from the inside. This is the perfect time for starting cold showers because the cold water is much warmer than it will be in a few months (unless you live in the southern hemisphere). August is the time to go swimming – in a lake, in the ocean, or even just dunking in a rubber pool in the backyard. Beyond cold showers you have heard here already about cold sitzbaths, saltwater nose rinses, sauna – all of which are tricks to keep you healthy.

Awful, this summer heat, isn’t it? One sits, barely wants to move, and sweat runs out of every pore.

Actually, no! Sweating takes out toxins from our bodies; the skin is one of four elimination organs (the other three are kidneys, bowels, lungs). Sweating is beneficial. Enjoy your wet armpits – without them, you would age faster and might get cancer earlier. Sorry that I am so graphic. But the advantages of sweating are widely underrated.

People sit in air-conditioned houses, and at the same time they are shelling out big dollars for “colon cleansing.” Colon cleansing is a health scam. Eating better and drinking water or herbal teas will do the trick; colon cleansing will not make you purer - just poorer.

In the winter, a sauna does the trick. Not by accident was sauna in vented in Finland and Russia - cold, northern states that do not allow for sweat naturally. - Exercise can make you sweat. But don’t try too hard: Individual people start sweating at different points, and one should not exercise for the sake of sweating. Move for fun and purpose!

In the summer, let nature work for you: Sweat it out!

Heavy metals like nickel, copper, zinc, lead have been found in sweat in higher numbers than in the blood – but I wish, we had better studies available! For instance, I am only aware of a single study that saw mercury levels falling during a sauna protocol. Most medical studies are funded by pharmaceutical firms (and I don’t see any wrong in there, as long as they adhere to scientific ethics). But this situation leaves out studies on water, sauna, yoga, healthy food, to name a few – because not much money can be made of them. The only way to improve the situation is to demand such studies.

Medications may be released into the sweat, notably anti-epileptic drugs, amphetamines, methadone (but don’t get your hopes too high that sauna will get you through a drug test easily - it won’t!).

Sauna also prevents frequent colds and promotes better sleep. In Europe, people use saunas widely. Mostly, of course, for relaxation and fun.

Except for the very elderly and frail who are in danger of severe dehydration in the summer, an air conditioner is unnecessary. In our house, we have a built-in central air-conditioning system. We never – never! – use it (but we also live in Boston, not in the Deep South - perhaps I would feel different in New Orleans...). If it gets really sweltering at night, we run a simple fan in the bedroom. Summer is for sweating – and winter is for cold exposure; both have their health merits.

If you sweat, you lose salt and water. So drink enough! And put a pinch more salt than usually in your food to replenish – unless you tend to high blood pressure. - And before I forget it: Warm drinks are healthy; cold drinks - especially ice-cold - hurt you.

Instead of suffering through the summer months, take them as what they are: A free-for-all detox program – every year! Eat fruit and salads and enjoy the heat with a peppermint tea ... lukewarm. In the shade.

In Natural Medicine, the skin is one of the four elimination organs. The other three are the lungs, the kidney/bladder and the bowel. If one of these is diseased or overloaded with toxins, the excess has to be dealt with by the skin. And it often comes out as acne, especially in young people when hormones totter from childhood to adulthood. Imbalances in hormones during puberty might trigger acne but are usually not the whole problem. And acne is not solely a teenage problem.

In acne – as in many skin diseases – the gut is ailing. The main culprit in the SAD diet (Standard American Diet) is dairy – cheese, milk, and so on.

Besides giving your inflamed bowel a respite from inflammatory food, here is what else you can do against acne:

• Take a probiotic to re-establish gut flora. Add fish oil against inflammation.

• Do not touch face or other areas with your fingers because bacteria – fed by unhealthy fare – bring a pimple to bloom.

• Use a face cloth only once. Everyone should at least have two dozen face cloths. Buy them in bulk, cheap.

• Do not squeeze pimples as this can leave scars. You can squeeze blackheads (comedones) after a bath or shower when they are soft. Always disinfect with rubbing alcohol, hamamelis water (witch hazel) or tea tree oil.

• Take a cold shower always after a hot one or a bath.

• Wash your face frequently with cold water during the day.

• Do not use soap, detergents, make-up, creams in your face. Cold water is all it needs. With very oily skin, a once or twice per week facial scrub (ground almonds, apricot kernels, rolled oats – the simpler, the better) is recommended. Avoid soapy additions. Keep hair grease away from your face.

• Sauna supports the skin in its elimination functions.

• Daily short exposure to sun is essential for healing.

• Incorporate breathing exercises in your routine. For a starter take three deep breaths (always start with exhalation) every hour on the hour (or as often as you think about it; don’t hold your breath; let it flow).

• The salty water of the ocean has healing properties that can be used during vacation times. At home, salt baths (with or without herbal additions) or mud compresses can simulate the real thing.

• Get involved in sports. All movement will help to eliminate your bowels faster – and the bowel is at the root of most cases of acne.

• Drink plenty of water – at least seven cups per day, more with exercise, from a beautiful cup. No purpose, though, running around all day with a bottle of water in your hand. One does not dehydrate that fast!

• Facial steam baths with chamomile are soothing.

• A Hildegard of Bingen recipe: Store grated horseradish in apple vinegar; clean skin with the solution (I have not tried it yet - let me know if you have!).

• Herbs for internal cleansing: dandelion root and stinging nettle (as a mix or single ingredients), together or singly. As capsules or tea.

• Beyond dairy: Eat fruit and vegetables as much as possible. Rule out gluten intolerance). Reduce animal fats and meats. No dairy and milk chocolate. Avoid all sugars and white starches.

• Quit smoking.

• Get enough sleep.

• Move! Walk and do yoga. The more you move, the better your body gets rid of ugly toxins.

• Against scarring acne get the help of a dermatologist – but avoid long-term antibiotics for minor acne because they only will confound the underlying problems in your bowels.